- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,338.90 / $12,207.40 / $19,655.50
| Facility | | $5,338.90 | $12,207.40 | $19,655.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,557.78 / $17,321.83
| Facility | | $1,474.01 | $6,557.78 | $17,321.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,836.59 / $12,763.63 / $18,081.21
| Facility | | $8,836.59 | $12,763.63 | $18,081.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,724.15 / $10,705.21 / $22,482.25
| Facility | | $7,724.15 | $10,705.21 | $22,482.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,259.06 / $13,061.02 / $19,300.23
| Facility | | $8,259.06 | $13,061.02 | $19,300.23 |